February 2021

With eating disordered behaviors on the rise internists should be aware that they are not limited to female adolescents Older people can also have eating disorders and medical complications in olde

Detecting eating disorders in midlife

Internists are well positioned to spot eating disorder symptoms in older adults, who can suffer more serious consequences of the condition.

Longer lifespans emerge in Down syndrome

Transitioning a patient with Down syndrome from a pediatric practice to an adult physician can be challenging due to a lack of willing physicians, who may not feel that they know enough to provide care.

From crisis to opportunity: Time to invest in primary care

The COVID-19 pandemic has exposed an inadequate and antiquated reimbursement system for primary care, compounded by a neglected public health system.

Better health care starts with primary care

Putting primary and comprehensive care at the front and center of the U.S. health care system would reduce costs while improving outcomes.

Subclinical hypothyroidism prompts personalized decisions

For diagnosing and managing subclinical hypothyroidism, clinical context such as age and symptoms matter, even in the face of an incomplete understanding of the condition.

Beyond PPIs for persistent GERD

Consider whether the patient has gastroesophageal reflux disease (GERD) that isn't responding to proton-pump inhibitors (PPIs) or GERD symptoms without an objective GERD diagnosis.

Getting dialysis for undocumented patients

Undocumented immigrants in the U.S. with end-stage kidney disease (ESKD) number in the thousands, and new programs and policies are allowing them to tap into dialysis before their condition warrants emergency treatment.

Making primary care more equitable

The Primary Care Collaborative (PCC) annual conference focused on creating a more equitable health care delivery system by increasing support, strengthening systems, and fixing disparities.

Catheters, infusion pumps recalled

This column reviews details on recent recalls, warnings, and approvals.

Eating disorders may cast a wider-than-expected net

This issue also covers extended lifespans for Down syndrome, the future of primary care, and subclinical hypothyroidism.

Latest updates on ACP's priorities, initiatives

ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.

MKSAP Quiz: Fatigue, anemia for 2 months

A 67-year-old man is evaluated for fatigue and anemia of approximately 2 months' duration. He has no other symptoms and takes no medications. Following a physical exam, lab studies, and flow cytometry, what is the most appropriate treatment?